Early retinal volume changes after switching to brolucizumab in refractory neovascular age-related macular degeneration - Takeaways - MDSpire

Early retinal volume changes after switching to brolucizumab in refractory neovascular age-related macular degeneration

  • By

  • Takaaki Matsuki

  • Kunihiko Akiyama

  • Ken Watanabe

  • Toru Noda

  • Mariko Sasaki

  • July 15, 2026

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  • 1

    This study evaluated early anatomical changes and intraocular inflammation following the switch to brolucizumab in nAMD patients refractory to other treatments.

  • 2

    Data from 23 patients showed significant decreases in central foveal retinal thickness and pigment epithelial detachment volume after switching to brolucizumab.

  • 3

    Intraocular inflammation was observed in three eyes, with varying degrees of anterior chamber inflammation and one case of vasculitis obliterans.

  • 4

    Despite a decrease in central foveal parameters, central retinal volume increased in eyes with intraocular inflammation, indicating a potential warning sign.

  • 5

    The study highlights the need for further prospective validation of the anatomical changes associated with brolucizumab therapy in nAMD patients.

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